Our 50th-anniversary conference in Boston was packed with exciting conversations and presentations. These three papers were awarded “best papers” by the Research Committee, led by Dr. Sílvia Caldeira.
Join us in congratulating these three authors on their hard work! You can read the papers at https://drive.google.com/drive/folders/1ou73RjyWo7arLZRPj8LdadwwmJgiB6QD.
“The effect of a nursing process-clinical decision support system on nursing students’ diagnostic accuracy”, written by Luca Bertocchi.
The study aimed to compare nursing students’ diagnostic accuracy and satisfaction achieved utilizing an electronic Nursing Process-Clinical Decision Support System (Florence®) and a traditional paper-based method. Using the Nursing Process-Clinical Decision Support System there was a significant higher nursing diagnostic accuracy as well as a better but no significant increase in satisfaction scores.
The use of the Nursing Process-Clinical Decision Support System showed a positive effect on nursing diagnostic accuracy. Nursing program could include these new technologies in their curricula as new educational opportunity for supporting students in their clinical decision making.
“Nursing interventions to prevent corneal injury in critically ill sedated and mechanically ventilated patients: a systematic review of interventions”, written by Patricia Rezende do Prado.
A systematic review of intervention studies was conducted and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, (PRISMA-20) in the following electronic databases: CINAHL, Cochrane Central, Embase, Latin American and Caribbean Literature in Health Sciences, Livivo, PubMed, Scopus and Web of Science. 15 studies were included in the systematic review. The total sample of the studies was 1.675 patients, with the largest sample size of 371 patients. The risk of developing corneal injury was assessed by comparing lubricants versus tape eyes and polyethylene chamber versus eye ointment. The meta-analysis showed that the risk of occurrence of the corneal injury, in the lubricants group was lowest (RR=0.34; 95%CI: 0.13-0.92) than in the tape eye group. In comparing polyethylene cover versus eye ointment, the risk was lower in the polyethylene chamber group (RR=0.32; 95%CI: 0.32 (0.07-1.44), however, there was no statistical significance, which may have been caused by the small sample of one included study. In most of the studies, the risk of bias was low, and the certainty of the evidence was high. The recommendation for clinical practice is that sedated, mechanically ventilated critically ill patients must receive ocular lubrication, preferably in gel or ointment, and protection of the corneas with a polyethylene chamber. A polyethylene chamber must be commercially available for critically ill sedated and mechanically ventilated patients.
“Recommendations of nursing outcomes from NOC to evaluate care of patients with COVID-19 subvariants”, written by Dr. Elizabeth Swanson.
Three articles presenting NOC linkages to SAR-S-Cov-2 (COVID -19) were reviewed. Article sections included suggestions for new NOCS to address the gaps in the classification. NOCs identified through articles and 7th edition NOCs were compared.
Comparisons of the recommendations for new outcomes suggested early in the pandemic were fewer in number than the outcomes developed and included in the 7th edition. The most significant contributions to the outcomes’ development was in the area of community. We are convinced the pandemic provided an opportunity to enhance the comprehensiveness of the Nursing Outcomes Classification focused on examining the impact of the care for individuals, families, and communities.